Individual
TANNER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1849 CAPRI DR, CHARLESTON, SC 29407-7603
(843) 270-8505
(833) 452-0726
Mailing address
1211 COLFAX CT, MT PLEASANT, SC 29466-7946
(843) 303-0726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
447202
SC
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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